Practice Question
A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The nurse also determine the client is homeless and is exhibiting suspiciousness. This client's plan of care should include what priority problem?
Answer Choices:
Correct Answer:
Acute confusion.
Rationale:
🔷 Acute confusion is a priority because the client is disoriented, disorganized, and confused—signs of impaired cognition.
🔷 It represents a safety concern that requires immediate assessment and management to reduce risk of harm.
🔷 The client’s homelessness and suspiciousness further increase vulnerability.
🔷 Treating confusion can help guide further evaluation of underlying causes such as substance use or psychosis.
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This question is from RN HESI Mental Health 2023 which contains 46 questions.
More Questions from This Exam
A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?
Answer Choices:
A. Escort the client from the group to reduce stimuli.
B. Assist the client with relaxation techniques in the group.
C. Provide education about ways to cope with anxiety.
D. Ask the client to describe and identify the source of the feelings.
The nurse is performing intake interviews at a psychiatric clinic. A client with a known history of drug abuse reports having had a heart attack four years ago. Use of which substance places the client at highest risk for myocardial infarction?
Answer Choices:
A. Alcohol.
B. Benzodiazepine.
C. Methamphetamine.
D. Marijuana.
The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse expect on assessment?
Answer Choices:
A. Stimulation and dilated pupils
B. Bradycardia and bradypnea.
C. Hallucinations and delusions.
D. Lethargy and depression
The nurse documents that a client with schizophrenia is delusional. Which statement by the client confirms this assessmen
Answer Choices:
A. "The snakes on the wall are going to eat me."
B. "The voices are telling me to kill the next person I see."
C. ."The voices are telling me to kill the next person I see."
D. None
Which is the best approach for the nurse to use when interviewing a client about suicidal ideations?
Answer Choices:
A. Share personal values to put the client at ease.
B. Ask questions in a vague, non-specific format
C. Begin with questions that are less sensitive in nature
D. Get the most difficult questions over with first.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: RN Hesi Mental Health
- Answer Choices: 4